| Entity Name: | NCCC OF VOLUSIA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Nov 2023 (a year ago) |
| Document Number: | L23000515233 |
| FEI/EIN Number | 93-4394507 |
| Address: | 1055 N DIXIE FREEWAY, STE 1, NEW SMYRNA BEACH, FL 32168 |
| Mail Address: | 1055 N DIXIE FREEWAY, STE 1, NEW SMYRNA BEACH, FL 32168 |
| ZIP code: | 32168 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700650264 | 2023-11-14 | 2023-11-14 | 1055 N DIXIE FWY STE 1, NEW SMYRNA BEACH, FL, 321686200, US | 1055 N DIXIE FWY STE 1, NEW SMYRNA BEACH, FL, 321686200, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 386-423-0505 |
Authorized person
| Name | RAJESH AILANI |
| Role | AUTHORIZED OFFICIAL |
| Phone | 3864160238 |
Taxonomy
| Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AILANI, RAJESH | Agent | 1055 N DIXIE FREEWAY, STE 1, NEW SMYRNA BEACH, FL 32168 |
| Name | Role | Address |
|---|---|---|
| AILANI, RAJESH | Manager | 1055 N DIXIE FREEWAY STE 1, NEW SMYRNA BEACH, FL 32168 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| Florida Limited Liability | 2023-11-14 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
